Treatment of Mellitus
Treatment Of Male Sexual Problems
Dilatation And Curettage (D C) Procedure
Treatment Of Childhood Diabetes
Diabetic Diet Counseling
Egg Donation Procedure
Pre And Post Delivery Care
Adult Diabetes Treatment
Urinary Incontinence (Ui) Treatment
Type 2 Diabetes Treatment
Treatment Of Erectile Dysfunction
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What is insulin therapy?
Insulin is a hormone that is responsible for keeping the level of sugar in the blood under control. It is the primary therapy used for the treatment of any type of diabetes. The dependence on insulin depends on the balance between the actual production of insulin in the body and the resistance of the body cells to the insulin produced. People, who suffer from diabetes type 1, need insulin injections lifelong. The requirement for insulin therapy in people suffering from type 2 diabetes solely depends upon the declining function of the beta-cells over time.
What are the types of insulin available in the market?
The various types of insulin available in the market are:
- Rapid acting insulin: The onset of action in this type of insulin is rapid and it lasts for a short duration, about two hours.
- Short acting or regular insulin: The onset of action is moderate, and it starts acting within half an hour, and the duration of action ranges from 3 to 6 hours.
- Intermediate acting insulin: It takes about 2 to 4 hours for the onset of action of this type of insulin and the effect can remain for about 18 hours.
- Long acting insulin: The duration of action of this type of insulin can last up to about an entire day.
How is it taken?
Insulin injections can be self-injected using a syringe, a needle, a cartridge system, or a pre-filled pen system. Devices for inhaling insulin, quick-acting insulin and insulin pumps are also available at medical stores and pharmacies. Insulin is injected subcutaneously, into your muscles. Try to ensure that you inject around the same area every time, but choose a different spot to ensure less scarring. The best areas to inject insulin are thighs, buttocks, arms and belly. If you take regular insulin, it is advised to take it half an hour before a meal.
What are the possible side effects?
- Low blood sugar level
- Scars and lumps from extensive usage of insulin injection
- Rashes can be found in the area the insulin is injected or sometimes, all over the body
- Weight gain when you start using insulin initially
If you wish to discuss about any specific problem, you can consult an endocrinologist.
Gestational diabetes is a form of diabetes where the blood sugar levels of the body increase during pregnancy. When you are expecting, your body is more repellent to insulin so that a larger amount of glucose is manufactured for the baby’s nourishment. However, this excess blood glucose can build up within the body which causes gestational diabetes. This can lead to health problems for both the mother and the baby. At the end of the gestational period i.e. once the baby is delivered, blood sugar reduces to normal.
When are you at a risk for gestational diabetes?
Gestational diabetes can also be hereditary. If a family member or a relative has diabetes, you are more likely to develop gestational diabetes.
If you are overweight, you are more susceptible to developing gestational diabetes.
What causes gestational diabetes?
During pregnancy, the placenta connects your baby to the blood supply. This produces other hormones which reduce the levels of insulin. This increases the level of blood sugar in your blood. As your baby develops, your body manufactures more of such hormones which block your insulin levels leading to gestational diabetes. This usually occurs from the 20th week of your pregnancy.
Increase in birth weight – Extra glucose crosses through the placenta which instigates the baby’s pancreas to manufacture more insulin. This can make your baby very large. Sometimes, it becomes difficult for the baby to pass through the birth canal during childbirth as a result.
Premature birth and respiratory diseases – High blood sugar may increase the risk of an early labor. It may make the baby due before the 37th week of pregnancy. This also makes the baby more susceptible to respiratory disorders.
High blood pressure – Gestational diabetes also raises your risks for high blood pressure. This can be fatal for you as well as your baby’s health.
Book an appointment with a dietitian and follow a healthy eating schedule. Limit the amount of carbohydrates and ensure you have a healthy and balanced meal.
Do light exercises regularly during pregnancy. This helps you to control your blood sugar level. Physical activities which require low levels of energy utilization such as swimming and walking will control your blood sugar level without exerting you too much.
- Taking insulin shots and medicine for diabetes will also control your blood sugar levels if you have a pre-existing condition.
Trying to become pregnant can be a stressful time – especially when things aren’t going as per your plan. Couples may experience an emotional roller-coaster of stress and anxiety.
The most common causes of *female infertility* include: endometriosis, ovulation disorders, ovulation induction, tubal disease, cervical factor, unexplained infertility.
It’s important to remember you’re not alone on this journey and help is available. Book an appointment with our *celebrity consultant gynaecologist and fertility expert today to get started with you fertility treatment journey.
*Sannidhya multi speciality hospital, south bopal, ahmedabad* department of obstetrics and gynaecology is fully equipped to deal with fertility problems including laproscopy, IUI, IVF, sarogacy, high risk pregnancy, ante natal care of expectant mothers.
I had detected hyper thyroid in Aug 2015, t3-300 and tsh was 0.01. I was suggested to take neomercozile 20 mg for 30 days and then increase dose to 30 mg for next 30 days and 40 mg for 1 year. After 30 days I felt some changes so I did checkup and found that t3, t4 within range but tsh -32, someone suggested to stop pills immediately and I did the same. Few months back I again checked, tsh came down to 5.5, but last month its 8.5. What to do?
I am 60 years old. My TSH 9.37 T4 10.5 T3 1.38 UREA 18 CREA 0.42 U.ACID 5.1. I have severe joint pain. Energy less. Fatigued. What is the reason for that? Is for TSH and is it needed to consult an Thyroid specialist?
Hi sir Please suggest some foods for Diabetes and meal too. What food they have to take and what foods they should not. And please suggest some protein foods too. Thank you.
I'm a sugar patient my immunity level is low how to I grow my level my age is 45approx. How to improve my health.
I am 52 years old female having knee problem since 6 months. I have diagnosed with high uric acid for that I have taken full course, I have taken vitamin d injection as well my knee stiffness is not going, please advise.
Almost all the metabolic processes in a person's body are influenced by the hormones produced by the thyroid gland. The most common types of thyroid diseases caused due to dysfunctional thyroid glands are Thyroid nodules, Hypothyroidism, Hyperthyroidism, Goiter, Thyroiditis, and Thyroid Cancer.
Hypothyroidism is when the thyroid gland is underactive and the amount of hormones produced is insufficient. Hypothyroidism can be caused due to multiple reasons such as iodine deficiency, radiation or surgery on the thyroid gland, and drugs such as lithium and phenylbutazone. You should note that treating thyroid is not a speedy process and a reoccurrence of symptoms might also take place. However with the appropriate remedies and proper diet control, one can make sure that these symptoms are less pronounced.
Ayurveda: According to Ayurveda, imbalance or disequilibrium in the doshas is the main cause of hypothyroidism. The Kapha dosha i.e. the dosha responsible for body fluids and lubrication and Pitta dosha i.e. the dosha responsible for fire and water body humors, are vitiated. Lifestyle and diet discrepancies further promote imbalances in the doshas. Hypothyroidism is categorized under the Yapya diseases which recur once you cease to take the treatment.
- It is essential to consume adequate quantities of milk.
- Apart from that, coconut oil is one of the best remedies for a hypothyroid patient, since it increases slow and sluggish metabolism. Coconut contains MCFAs i.e. medium chain fatty acids and MTCs i.e. Medium chain triglycerides in abundance which help the metabolism be revved up.
- Ayurvedic herbs useful for treating hypothyroidism are kanchnar, Bauhinia variegata i.e. purple mountain ebony, Jatamansi, brahmi, guggulu, shilajit, gokshura, and punarnava.
- Consume a mixture of Indian gooseberry i.e. amla churna with honey, daily before breakfast.
- One of the main causes of Hypothyroidism is insufficient amount of iodine. Drinking the juice acquired from jalakumbhi i.e. Pistia Stratiotes everyday in doses amounting from 11gm to 22gm increases the iodine content and helps treat hypothyroidism.
Hypothyroidism is mainly a life style disorder where unhealthy dietary habits worsen the situation. Kindly consult a specialist to know where you are going wrong in your daily schedule so that apart from these remedies, necessary life style modifications can be done.
Symptoms and diet plan for Thyroid
Diabetes is basically a disorder of the metabolism causing excessive thirst and the production of large amounts of urine. To further elaborate one need to understand the role of insulin in the body. While eating, the body turns food into sugar or glucose. At that time pancreas is supposed to produce the right amount of insulin to move the glucose from our blood into our cells. In diabetics, the pancreas either produces little or no insulin, or the body cells do not respond to the insulin that is produced. Due to this, glucose levels rise in the blood, floods into the urine and passes out of the body, making the body lose its main source of fuel. Diabetes is of many types, but the most common are Type 1 and Type 2.
How to treat Diabetes:
Controlling blood sugar level is the major goal of diabetes treatment, in order to prevent complications of the disease. Treatment may be in Allopathy or Homeopathy, conventional medicine often uses insulin itself in the treatment of diabetes. Since this is kind of replacement, so diabetes becomes a life-long disease. Homeopathy can be used effectively in the treatment. Let’s see how diabetes can be worked with Homeopathy.
Diabetes & Homeopathy
In homeopathy, the main focus is on functioning of the pancreas in efficient insulin production. There are specific medicines which are used effectively in the treatment of all the stages of the diseases.
Homeopathic treatment can help improve the general health of a person with diabetes:
- If a person with diabetes is in good health, his or her insulin requirements will be steady and the blood glucose well controlled at the same time.
- If the general health is poor, it can be very difficult to achieve good control.
Homeopaths resort to different approaches towards diabetes Management of Blood Sugar. First is when the blood sugar level is very high, the priority is to control it and there are homeopathic remedies that could reduce the sugar. The commonly used remedies are Uranium Nitricum, Phosphoric Acid etc. These are classical homeopathic remedies.
Depending on the level of the blood sugar and the requirement of the patient, doses are given with doctor’s consultation. It’s a holistic approach in medicine. This treats the patient taking into consideration the mental, emotional and physical peculiarities of the person who is affected with this state. In this, it is considered that the disease is a mere deviation in life force and hence all the efforts are to correct this disorder. The treatment will be to bring into balance the various systems involved in diabetes, for example, pancreas, hormones, and your immune system. Treatment will again be different if you have other ailments along with diabetes.
Homeopathy regards health as a state of balancing the equilibrium of the life force. Whatever treatment is taken it’s always advisable to be in regular touch with the doctor and keep sharing the health status with the doctor.
Is it good for diabetic patient to use thermal cooker rice to eat as lunch? Is it cause any problems like increase in sugar levels?
After pain in my foot my tests shows increase in uric acid what should I do to keep it at lower side in future.
Sir, I am 50 years now, till now no diabetic. But on testing now I am near border and have not used any medicine.
Since blood is part of the cardiovascular system, and diabetes is a condition in which the level of glucose in the blood is higher than normal, then is certainly some relationship between the two.
Diabetes and cardiovascular system diseases has been recognized to be closely related to each other due to the so-called insulin resistance syndrome or metabolic syndrome. Some examples of the commonly diagnosed cardiovascular disease are coronary heart disease, stroke, high blood pressure and other heart conditions.
Diabetes is considered a major risk factor in cardiovascular diseases. Other factors that contribute to the possibility of acquiring cardiovascular diseases in diabetic patients include hypertension, smoking, and dyslipidemia.
How Diabetes Causes Cardiovascular Problems?
- Hypertension: Hypertension in diabetes is considered a major contributor to the increase in mortality from cardiovascular diseases. Diabetic patients, especially those with Type 2, need to always have their blood pressure checked every visit to the doctor. Self-monitoring at home is also a must to maintain and control the rise of blood pressure. The American Diabetes Association recommends a target blood pressure of not more than 130/85 mm Hg to maintain a good level of blood pressure.
- Arteriosclerosis and Atherosclerosis: Arteriosclerosis is the stiffening or hardening of the artery walls while Atherosclerosis is the narrowing of the artery because of plaque build-up. Atherosclerosis is a form of hardening of the blood vessels/arteries, caused by fatty deposits and local tissue reaction in the walls of the arteries. Diabetes is a documented high risk factor for the development of both Atherosclerosis, Arteriosclerosis. Heart disease and stroke, arising mainly from the effects of atherosclerosis, account for 65 percent of deaths among diabetics.
- Hyperglycemia: Hyperglycemia means high (hyper) glucose (gly) in the blood (emia). Your body needs glucose to properly function. Your cells rely on glucose for energy. Hyperglycemia is a defining characteristic of diabetes, when the blood glucose level is too high because the body isn't properly using or doesn't make the hormone insulin. There is a growing recognition that diabetes belongs to a special category of risk factors because it markedly increases risk of CVD. This increase is partly the result of the pernicious effects of persistent hyperglycemia on the vasculature and partly due to the coexistence of other metabolic risk factors.
- Smoking: Smoking has been determined dangerous to our health. Studies show that smoking indeed increase risk of premature death and cardiovascular disease in diabetic patients.
- Atrial Fibrillation: Atrial Fibrillation means an irregular and rapid heart rate which can increase the risk of stroke, heart failure and other cardiac issues. Individuals with diabetes are at an increased risk of developing atrial fibrillation. This risk is higher among patients with a longer duration of treated diabetes and poorer glycemic control.
Individuals with insulin resistance or diabetes in combination with one or more of these risk factors are at even greater risk of heart disease or stroke. However, by managing their risk factors, patients with diabetes may avoid or delay the development of heart and blood vessel disease. Your health care provider will do periodic testing to assess whether you have developed any of these risk factors associated with cardiovascular disease. If you wish to discuss about any specific problem, you can consult a doctor.
Diabetes is an acute ailment that can badly affect your heart, eyes, nerves, kidneys and feet. Therefore, it is important to understand how these organs and components are connected and how diabetes affects them. This will help you to follow your treatment procedure more thoroughly and improve your health condition more effectively.
Beginning of Health Ailments from Diabetes-
When diabetes in a person is not properly regulated and maintained, the blood-sugar levels rise up and this syndrome is called 'hyperglycaemia' or high blood sugar. The way sugar particles stick to each other when they are left uncovered for some time, blood vessels within human body also get stuck with sugar in the blood and make it difficult for blood circulation. Over time, this causes a severe damage to blood vessels connected to kidneys, heart, lungs, eyes and nerves.
Diabetes affecting all the major parts of the body-
Having uncontrolled blood sugar for a prolonged period of time can damage the tiny vessels around the eye causing vision troubles and eventual blindness. High levels of blood sugar in the blood vessels that supplies oxygen to the brain, and heart can develop a fat deposit around them leading to stroke and heart attack. Nerves in the human body serve the function of messengers that carry impulses from different body parts to the brain and vice versa. Having high blood sugar levels can damage blood vessels that carry oxygen and blood to all parts of the body. With the passage of time, nerves can get choked, and they may stop sending pain impulses to the brain.
Diabetes or high blood sugar levels can be detrimental for your feet as well. It mostly harms feet in two possible ways- firstly, it can damage the nerves and their functionality which, in turn would stand in the way of feeling pain as well as other problems occurring in your feet.
Secondly, diabetes leads to poor blood circulation, which makes it nearly impossible for sores and infection around the feet to heal. Once the healing process stops, it can even pave the way for amputation.
Lastly, diabetes is equally detrimental for kidneys, which are the filters of the human body. Kidneys are filled with miniature blood vessels, and high blood sugar can lead to clogged vessels, which disturb blood circulation. Once the kidney does not get ample oxygen and blood, lesser amounts of fluids are taken off the body that may subsequently lead to kidney failure.
Therefore, it is time to build awareness and lead a healthier lifestyle to keep diabetes under control, and a good physician will be able to guide you better on this. If you wish to discuss about any specific problem, you can consult an endocrinologist.
With sedentary lifestyle, refined and processed food habits, obesity and diabetes is the new age epidemic. India, in fact, is being termed as the diabetes capital of the world given the huge rise in the number of cases over the last couple of decades.
There are well established risk factors for diabetes and if these can be managed, then the chance of delaying onset, controlling progress and containing complications are highly possible. Read on to know how simple things can be effective in preventing and managing diabetes.
Weight control: Obesity is the most important risk factor for developing diabetes. A person with normal BMI is 20 to 40 times less likely to develop diabetes than an overweight person. Losing about 10% of the excess weight can help prevent diabetes by more than 50%. Check with your doctor what should be the ideal recommended weight for you and draw up a routine (diet, exercise, etc.) that will help you achieve and stay around that weight range.
Exercise: All methods of exercise help in moving the muscles, which is drastically reduced given our sedentary lifestyle. Moving the muscle (as much and as often as possible) ensures they absorb more glucose and reduce the stress on insulin production. Something as simple as brisk walking for 30 minutes is good enough to reduce the chances of developing diabetes by 50%.
Don’t be a couch potato: If watching television is your favourite pastime, it is time to change it. This puts people at risk of developing obesity, heart disease and diabetes. Also, watching television is usually associated with overeating, further adding to the risk of diabetes.
Fibrous foods: Eating fibrous fruits and vegetables as compared to refined and fried foods helps prevent diabetes.
Whole grains vs processed foods: When you have to choose between a pizza and a bowl of brown rice, go for the latter.
Good fats vs bad fats: Polyunsaturated fatty acids are found in vegetable oils, nuts, and seeds and help control diabetes. Trans fats present in margarine and baked foods are best avoided.
Non-vegetarian foods: If you have a choice, pick fish and poultry versus red meat (processed or otherwise). The fish is rich in Omega-3 fatty acids and helps control inflammation.
Leave the whites: Get off white rice, white refined sugar and white flours. Include brown rice, brown or demerara sugar and wheat flour instead.
Smoking: Quit smoking and you will note how beneficial it is in preventing diabetes.
Alcohol: Moderate amount helps in effective functioning of the insulin.
If you have a family history or have risk factors, follow the above to prevent diabetes.